Medicine and Health

As we learned in class today, antibiotic stewardship is an important part of our role as providers. This can be a challenge because patients demand it and our colleagues often overprescribe antibiotics. Overprescribing can be related to provider insecurity about a diagnosis and the patient’s course of illness (cover EVERYTHING just in case), or a desire to please patients and achieve higher patient satisfaction scores. In addition, the media plays a role in advising the public that such medications are necessary.

For this post, think about the topic at a deeper level. We all know the CDC has information sheets for patients /providers teaching them about the dangers of overprescribing antibiotics. Think about your role as a new NP. You may work in a with other providers who overprescribe, how can you make changes as a new NP at the practice? Or you may face lower patient satisfaction scores because you only prescribe when necessary. These will impact your annual review and can also lower annual bonuses (if you’re lucky to get that kind of position!). You can explore innovative ways to educate patients and their families. Additionally, you can also look at the problem from a policy perspective and how you can support change at that level.

Write a Wound Physical Therapy Case Study. For this assignment, you do NOT need to base it on a real patient. The case study is to be put together with your knowledge from the course. I am looking for the following information: Patient History (3 points) Wound Etiology (2 points) Wound Size and Indicate how measurements were assessed (what tools did you use) (2 points) Condition of the Periwound area (3 points) Debridement Technique(s) Used with brief Rationale (3 points) Lavaging Agent(s) Used with brief Rationale (2 points) Dressings(s) Used with brief Rationale (3 points) Special Testing or Consideration(s) (3 points) Conclusion (4 points) Grading Criteria: Be sure to comment on each area above. If an area does not apply to your case, state this and WHY it does not apply to your case. Your submitted work must be your own – write in your own words – do not copy the work of others. You must have at least two peer-reviewed articles as references. Use AMA referencing style for this assignment. References must be cited in the paper. A reference list is to be provided at the end of the paper.

Medical errors stem from a variety of causes. One of which is miscommunication between prescriber and the pharmacist in the form of misunderstood or illegible abbreviations. Read the article below and using the medical terminology that you’ve learned in the course, so far, and discuss how these abbreviations can or can’t be dangerous to use. http://www.ncbi.nlm.nih.gov/books/NBK133373/

Please No needed any sources, BUT NO COPY ANYTHING TO plagiarized. 1. Explain characteristics of Filipino American group population, and how will you approach this particular group in your role as nurse. Explain minimum of 150 words. 2. Read about the East Indian Hindu Americans population and explain how this particular group can change your nursing practice? Explain in 150 words.

Answer the following questions: 1. Do you think it is ever ethically permissible for a physician to participate in either physician-assisted suicide or euthanasia? What principles do you hold that determine this position? 2. Concerning the debate unfolded in Ackerman’s article, what are your thoughts between the debate between Hartwig’s “duty to die” and Ackerman’s “duty to aid”? What guidelines would you use to decide between the two sides? SOURCES: Ethical Issues in Modern Medicine: Contemporary Readings in Bioethics Author: Steinbock Edition:8th

What Do We Really Know? Are they safer than conventional cigarette smoking? You are required to conduct a “comprehensive” literature that examines the health effects of vaping. PROJECT GUIDELINE 1. Introduction State the need for this type of study or review? Why is it necessary? 2. The Review You must examine 15 peer-reviewed articles,10 of which much be empirical rather “theoretical/non-empirical” studies. When reviewing the empirical research studies, you must pay close attention to study sample, sample size, methods, analysis and results. 3. Summarize and Conclusion Summarize your findings and draw a conclusion.

Essay #3: Medical/Pharmaceutical Essay Assignment *Be sure to see the APA information on Moodle or talk with me if you have any confusion on how your paper should be formatted. The goal here is for you to become familiar with the Health/Medical branch of the Natural Sciences. You will craft a 4 (FULL) page essay which will include the abstract and title page required in APA (American Psychological Association) format* (meaning you will have a total of 7 pages), based on one of the following topics: ? Universal Health Care – It’s been in the news lately, but universal health care also touches on historical issues — such as how it has been implemented in other countries — ethics and right-to-treatment, and socio-economics. Isolate an issue within universal health care and explain it in depth. ? Right to Die – Assisted suicide is legal in some countries (like Holland) and a taboo topic in others. Write about the legality in general (for or against) or illustrate the specific conditions in which assisted suicide should be acceptable. ? Treatment Options – Choose an illness, such as clinical depression or cancer, and compare and contrast the different treatment options available. ? Treatment Availability – Compare and contrast the medical systems and availability of doctors within two areas, locally and internationally. Your thesis can also draw a conclusion about which system is better based on your research or, briefly, how the contrasting system might be improved. ? Opioid Crisis – What is the ongoing issue with opioids? What has the government done to aid with this crisis? What is the current medical stance on the issue? What can we do to rectify the problem? Suggested Essay Development: Within the confines of your paper you will discuss the subject at length, providing not only the causes and effects of the subject but also a summary and analysis of current research being done on the topic. Some of these topics may be found more rewarding than others. Choose wisely. I. Introduction a. State your topic clearly b. Give your stance on the subject c. Briefly detail the points you intend to make d. A thesis statement (i.e. Based on current research and studies done by reputable health facilities, it is clear to see that fast food restaurants play a large role in the rising rates of obesity.) II. Detail the Issue a. What is the issue you are dealing with? b. Why is it an issue? III. Your Stance a. What is your stance on the subject? b. Introduce current research to support your thought c. Synthesize the research with your thoughts Essay #3: Medical/Pharmaceutical Essay Assignment *Be sure to see the APA information on Moodle or talk with me if you have any confusion on how your paper should be formatted. IV. Look to the Future a. What does the future hold for this issue? b. Are there potential ramifications from this problem or is there a solution on the horizon? V. Conclusion You will need to research your topic thoroughly and provide enough information to back up your claims. I am requiring a minimum of 5 sources for this paper. Only 2 of these sources may be web sites, the rest must come from a reputable journal or health report (meaning that you can only have two sources like WebMD.com or MayoHealth.com, the rest have to be actual articles). These sources must be detailed in your Works Cited page as well as cited within your text.

Each student will prepare a written summary of the selected article that includes the title, authors and complete citation (volume, pages and year) in the format used in the Literature Cited section of the Journal selected. The evaluation should answer and/or identify each of the following: A. What were the questions or hypotheses investigated? B. Did the authors’ have a “working” hypothesis? (Was the study designed to address a specific aspect of a larger question?) C. Summarize the experimental approach and/or the experimental model used. D. Summarize the results obtained and be sure to identify the independent and dependent variable(s) for any tables or graphs you discuss. E. What were the author’s conclusions? F. Did the experimental design and results support the author’s conclusions?

Essay of 2,500 words on developing a health promotion campaign. Your task is to choose ONE health promotion topic from the following public health challenges § Cancer § Vaccine campaign and devise a health promotion campaign around your chosen area. You will define the locality (which could be community or city or country wide) and include a critical appraisal of the following areas: – · evidence of need · context · strategy · health promotion theory and model(s) employed · methods of evaluation You will need to carry out a literature search to identify appropriate references that will help you justify and critically appraise your methodology, choice of health promotion topic and the health promotion theory and models that will underpin the campaign. It is recommended that you choose a locality with which you are familiar through research, practice or residency. The word limit for the essay is 2,500 words (± 10%). This does not include words that make up the reference list, the citations within the essay document and any tables or diagrams. References must be listed in alphabetical order at the end of the essay and citations must be written in the text using the author(s)’ surname(s) and year of publication. In particular your essay will be assessed on: – · Critical appraisal of the evidence that justifies the methodology(ies) chosen Provide reasoned discussion that explains why you have chosen this area and the prospective impact on the population. Please submit this assignment as a WORD document using Arial 12 font with 1.5 line spacing.

1. The pediatrician writes the following order for a child: Tylenol 160 milligrams “PO” PRN for pain q 6 hours. The Pharmacy fills the order with 80 milligrams per milliliter. How many milliliters per dose will you give? 2. Mucomyst 300 milligrams “PO” X one dose before surgery is ordered. This drug is delivered with 600 milligrams/2 milliliters. How many milliliters will you administer? 3. An order is written for a GI solution 150 milligrams by mouth every six hours for 24 hours. The Pharmacy sends 75mg/3ml. How many ml will you administer per 24 hours? 4. Aspirin comes in 81 mg tablets. The physician has ordered 162 mg to be administered every four hours. How many tablets will you give in a 24 hour period? 5. The doctor order reads; Digoxin 250 mcg “PO” 4 x daily. The label reads 1 tablet equals 0.25 mg. How many tablets will you administer per day? 6. The NSAID Naproxen has been prescribed for a patient, 1375 milligrams per day in divided doses. Each tablet contains 0.275 grams. How many tablets are given for this daily dose? 7. The physician orders Lovenox 1mg/kg every 12 hours. The patient weighs 196 pounds. Lovenox is available as 100 milligrams per milliliter. What is the patient’s weight in kilograms? How many milligrams of Lovenox will you give per dose? 8. The pediatrician writes the following Azithromycin order for a child weighing 36 pounds: 10 milligrams/kilograms on day 1, then 5 milligrams/kilograms on days 2-5. Calculate the daily dose for day 1: Calculate the daily dose for days 2-5: 9. The Nurse Practitioner has ordered 100 milligrams of Dilantin “PO” every 8 hours for a patient weighing 180 pounds. The label on the drug container reads 250 milligrams per 5 milliliters. How many milliliters will you give per dose? 10. Amoxicillin suspension 750 mg is ordered every eight hours. The liquid medication is available labeled 250 mg/ 5 milliliters. How many milliliters should you give?